Mount Union hospital

case study 1

At the Mount Union hospital, a 5-year old white male child in good general health

and physical condition was presented at the Saturday walk-in clinic by his

mother. He was brought in because he had a fever, was cranky, and had

complained of a sore throat for about 24 hours. On physical examination by the

attending resident, the patient had a fever of 39.3C, and he had considerable

swelling and drainage of the pharynx and in the conjunctivae. His tonsils were

enlarged and coated with a white patchy exudate. He had a red throat and

swollen anterior cervical lymph nodes. His ears were clear. His chest sounded

clear and he had no additional remarkable findings on routine examination.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

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case study 2

A lethargic 21-month old black female was presented by her mother to the

emergency room at 2:15am on a Sunday. The child had a history of a runny

nose, hoarse cough and low-grade fever (~99F) for the past 48 hours. The

mother was concerned about the forced and noisy breathing of the child. The

pediatrician examined the child and found cloudy eyes and mild inflammation of

the ears, but no overt signs of bacterial infection (no significant changes in the

eardrums). The throat of the child was red and coated with mucus. The larynx

was swollen and raw.

The physician performed a rapid Strep test and found it was negative. Throat

swabs were taken for culture. The physician placed the child in a room with a

warm vaporizer for about 30 minutes. This dramatically improved the breathing of

the child.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

Please reference and cite and also keep both studies separated and numbered! thank you!